Dental Procedures: Terminology and ADA Codes
We have listed some common dental and vision topics below. Just click on the topic to learn more. We have also listed dental procedures along with their ADA codes for your reference. These definitions provide more information about the dental procedures and costs listed on the site.
Vision Topics
Cataract
Color Vision Deficiency
Computers and Vision
Conjunctivitis
Contact Lenses
Doctors of Optometry
Dry Eye
Eyeglasses
Farsightedness
Glaucoma
Lasik
Macular Degeneration
Nearsightedness
Vision and Nutrition
Vision in Children
Dental Topics
Antibiotics
Calcium
Common Dental Emergencies
Cosmetic Dentistry
Crowns and Bridges
Deep Cleaning
Dentists
Implants and Dentures
Oral Cancer
Oral Health
Orthodontics
Preventive Dentistry
Sealants
Tooth Decay
Toothbrushes
Procedure and ADA Code Information
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B |
C |
D |
E |
F |
G |
I |
L |
M |
O |
P |
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S |
T |
U
Current Dental Terminology © 2004 American Dental Association. All rights reserved.
ADA Code [ A ] Procedures
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ADA Code [ B ] Procedures
5650
5411
5410
5422
5421
7320
7310
2161
2140
2160
2150
9230
3310
3410
5411
5410
5422
5421
7320
7310
2161
2140
2160
2150
9230
3310
3410
add tooth to existing partial denture
A procedure in which a tooth is added to an existing partial denture.
adjust complete denture – mandibular
An adjustment to a denture, which replaces all of the teeth of the lower jaw.
adjust complete denture – maxillary
An adjustment to a denture, which replaces all of the teeth of the upper jaw.
adjust partial denture – mandibular
An adjustment to a denture, which replaces some of the teeth of the lower jaw.
adjust partial denture – maxillary
An adjustment to a denture, which replaces some of the teeth of the upper jaw.
alveoloplasty not in conjunction with extractions – per quadrant
Alveoloplasty is when the bone in the mouth is surgically smoothed and prepared, usually so that dentures can be placed. This code is used when alveoloplasty is not performed in combination with extractions.
alveoloplasty in conjunction with extractions – per quadrant
Alveoloplasty is when the bone in the mouth is surgically smoothed and prepared, usually so that dentures can be placed. This code is used when alveoloplasty is performed in combination with extractions.
amalgam – four or more surfaces, primary or permanent
Also referred to as a silver filling, this material is commonly utilized to fill cavities, as well as in other dental techniques. It is a combination of mercury (45-50%) and a tin, copper, and silver alloy. This ADA code refers to four or more surfaces.
amalgam – one surface, primary or permanent
Also referred to as a silver filling, this material is commonly utilized to fill cavities, as well as in other dental techniques. It is a combination of mercury (45-50%) and a tin, copper, and silver alloy. This ADA code refers to one surface.
amalgam – three surfaces, primary or permanent
Also referred to as a silver filling, this material is commonly utilized to fill cavities, as well as in other dental techniques. It is a combination of mercury (45-50%) and a tin, copper, and silver alloy. This ADA code refers to three surfaces.
amalgam – two surfaces, primary or permanent
Also referred to as a silver filling, this material is commonly utilized to fill cavities, as well as in other dental techniques. It is a combination of mercury (45-50%) and a tin, copper, and silver alloy. This ADA code refers to two surfaces.
analgesia anxiolysis inhalation of nitrous oxide
Prior to dental treatment, the patient inhales nitrous oxide and oxygen, which lowers anxiety and sensitivity to pain without causing a loss of consciousness.
anterior endodontic (or root canal) therapy – excluding final restoration
Root canal therapy, which addresses problems with the dental pulp, the soft tissue surrounding the tooth. First, the crown of the tooth is removed. The dentist then restores the soft tissue by removing damaged areas and cleaning, enlarging, and shaping the tissue to create an optimal surface that can be filled with a filler. A new crown is then placed on top. Several visits may be required for the procedure. This code indicates root canal therapy on anterior teeth, the teeth located near the front of the mouth (lower and upper incisors and canines)
apicoectomy/periradicular surgery – anterior
Surgery on the root of an anterior tooth. Placement of retrograde filling material is not included in this ADA code.
A procedure in which a tooth is added to an existing partial denture.
adjust complete denture – mandibular
An adjustment to a denture, which replaces all of the teeth of the lower jaw.
adjust complete denture – maxillary
An adjustment to a denture, which replaces all of the teeth of the upper jaw.
adjust partial denture – mandibular
An adjustment to a denture, which replaces some of the teeth of the lower jaw.
adjust partial denture – maxillary
An adjustment to a denture, which replaces some of the teeth of the upper jaw.
alveoloplasty not in conjunction with extractions – per quadrant
Alveoloplasty is when the bone in the mouth is surgically smoothed and prepared, usually so that dentures can be placed. This code is used when alveoloplasty is not performed in combination with extractions.
alveoloplasty in conjunction with extractions – per quadrant
Alveoloplasty is when the bone in the mouth is surgically smoothed and prepared, usually so that dentures can be placed. This code is used when alveoloplasty is performed in combination with extractions.
amalgam – four or more surfaces, primary or permanent
Also referred to as a silver filling, this material is commonly utilized to fill cavities, as well as in other dental techniques. It is a combination of mercury (45-50%) and a tin, copper, and silver alloy. This ADA code refers to four or more surfaces.
amalgam – one surface, primary or permanent
Also referred to as a silver filling, this material is commonly utilized to fill cavities, as well as in other dental techniques. It is a combination of mercury (45-50%) and a tin, copper, and silver alloy. This ADA code refers to one surface.
amalgam – three surfaces, primary or permanent
Also referred to as a silver filling, this material is commonly utilized to fill cavities, as well as in other dental techniques. It is a combination of mercury (45-50%) and a tin, copper, and silver alloy. This ADA code refers to three surfaces.
amalgam – two surfaces, primary or permanent
Also referred to as a silver filling, this material is commonly utilized to fill cavities, as well as in other dental techniques. It is a combination of mercury (45-50%) and a tin, copper, and silver alloy. This ADA code refers to two surfaces.
analgesia anxiolysis inhalation of nitrous oxide
Prior to dental treatment, the patient inhales nitrous oxide and oxygen, which lowers anxiety and sensitivity to pain without causing a loss of consciousness.
anterior endodontic (or root canal) therapy – excluding final restoration
Root canal therapy, which addresses problems with the dental pulp, the soft tissue surrounding the tooth. First, the crown of the tooth is removed. The dentist then restores the soft tissue by removing damaged areas and cleaning, enlarging, and shaping the tissue to create an optimal surface that can be filled with a filler. A new crown is then placed on top. Several visits may be required for the procedure. This code indicates root canal therapy on anterior teeth, the teeth located near the front of the mouth (lower and upper incisors and canines)
apicoectomy/periradicular surgery – anterior
Surgery on the root of an anterior tooth. Placement of retrograde filling material is not included in this ADA code.
3320
270
274
272
270
274
272
bicuspid endodontic (or root canal) therapy – excluding final restoration
Root canal therapy, which addresses problems with the dental pulp, the soft tissue surrounding the tooth. First, the crown of the tooth is removed. The dentist then restores the soft tissue by removing damaged areas and cleaning, enlarging, and shaping the tissue to create an optimal surface that can be filled with a filler. A new crown is then placed on top. Several visits may be required for the procedure. This code indicates root canal therapy on a bicuspid, a premolar tooth or a tooth with two cusps.
bitewing – single film
X-rays of the crowns of teeth used to determine whether decay exists. This code refers to one film.
bitewings – four films
X-rays of the crowns of teeth used to determine whether decay exists. This code refers to four films.
bitewings – two films
X-rays of the crowns of teeth used to determine whether decay exists. This code refers to two films.
Root canal therapy, which addresses problems with the dental pulp, the soft tissue surrounding the tooth. First, the crown of the tooth is removed. The dentist then restores the soft tissue by removing damaged areas and cleaning, enlarging, and shaping the tissue to create an optimal surface that can be filled with a filler. A new crown is then placed on top. Several visits may be required for the procedure. This code indicates root canal therapy on a bicuspid, a premolar tooth or a tooth with two cusps.
bitewing – single film
X-rays of the crowns of teeth used to determine whether decay exists. This code refers to one film.
bitewings – four films
X-rays of the crowns of teeth used to determine whether decay exists. This code refers to four films.
bitewings – two films
X-rays of the crowns of teeth used to determine whether decay exists. This code refers to two films.
ADA Code [ C ] Procedures
150
180
5120
5110
9310
2950
2790
2792
2791
2751
6751
2750
2752
6752
2740
6790
6792
6791
6750
180
5120
5110
9310
2950
2790
2792
2791
2751
6751
2750
2752
6752
2740
6790
6792
6791
6750
comprehensive oral evaluation – new/established patient
A thorough evaluation and recording of the hard and soft tissues inside and outside of the mouth, including the evaluation and recording of the patient's dental history.
comprehensive periodontal evaluation – new/established patient
An evaluation of periodontal conditions, probing and charting, evaluation, and recording of the patient's dental history
complete denture mandibular
Placement of a synthetic substitute for teeth of the lower jaw and their adjoining tissue.
complete denture maxillary
Placement of a synthetic substitute for teeth of the upper jaw and their adjoining tissue.
consultation (diagnostic service provided by dentist or physician other than practitioner providing treatment)
Service given by a dentist or dental specialist in which another dentist, doctor, or source had requested input regarding a specific dental issue. Diagnostic procedures or treatment may be initiated.
core buildup, including any pins
The building up of anatomical crown during the placement of a restorative crown. A material is put in the tooth to prepare for a crown when there is not enough tooth retention and strength for the crown. Pins may or may not be used.
crown – full cast high noble metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold.
crown – full cast noble metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%.
crown – full cast predominantly base metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum less than 25%.
crown – porcelain fused to predominantly base metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to predominantly base metal. The designation of predominantly base metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum less than 25%.
crown – porcelain fused to predominantly base metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to predominantly base metal. The designation of predominantly base metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum less than 25%. This code refers to fixed partial dental retainers.
crown – porcelain fused to high noble metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to high noble metal. The designation of high noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold.
crown – porcelain fused to noble metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to noble metal. The designation of noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%.
crown – porcelain fused to noble metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to noble metal. The designation of noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%. This code refers to fixed partial dental retainers.
crown – porcelain/ceramic substrate
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover). This ADA code refers to a porcelain/ceramic substrate.
crown – full cast high noble metal - denture
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold. This code refers to fixed partial dental retainers.
crown – full cast noble metal - denture
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%. This code refers to fixed partial dental retainers.
crown – full cast predominantly base metal - denture
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum less than 25%. This code refers to fixed partial dental retainers.
crown – porcelain fused to high noble metal - denture
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to high noble metal. The designation of high noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold. This code refers to fixed partial dental retainers.
A thorough evaluation and recording of the hard and soft tissues inside and outside of the mouth, including the evaluation and recording of the patient's dental history.
comprehensive periodontal evaluation – new/established patient
An evaluation of periodontal conditions, probing and charting, evaluation, and recording of the patient's dental history
complete denture mandibular
Placement of a synthetic substitute for teeth of the lower jaw and their adjoining tissue.
complete denture maxillary
Placement of a synthetic substitute for teeth of the upper jaw and their adjoining tissue.
consultation (diagnostic service provided by dentist or physician other than practitioner providing treatment)
Service given by a dentist or dental specialist in which another dentist, doctor, or source had requested input regarding a specific dental issue. Diagnostic procedures or treatment may be initiated.
core buildup, including any pins
The building up of anatomical crown during the placement of a restorative crown. A material is put in the tooth to prepare for a crown when there is not enough tooth retention and strength for the crown. Pins may or may not be used.
crown – full cast high noble metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold.
crown – full cast noble metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%.
crown – full cast predominantly base metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum less than 25%.
crown – porcelain fused to predominantly base metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to predominantly base metal. The designation of predominantly base metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum less than 25%.
crown – porcelain fused to predominantly base metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to predominantly base metal. The designation of predominantly base metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum less than 25%. This code refers to fixed partial dental retainers.
crown – porcelain fused to high noble metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to high noble metal. The designation of high noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold.
crown – porcelain fused to noble metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to noble metal. The designation of noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%.
crown – porcelain fused to noble metal
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to noble metal. The designation of noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%. This code refers to fixed partial dental retainers.
crown – porcelain/ceramic substrate
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover). This ADA code refers to a porcelain/ceramic substrate.
crown – full cast high noble metal - denture
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold. This code refers to fixed partial dental retainers.
crown – full cast noble metal - denture
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%. This code refers to fixed partial dental retainers.
crown – full cast predominantly base metal - denture
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and in which the alloy has the following metal content: gold, palladium, and/or platinum less than 25%. This code refers to fixed partial dental retainers.
crown – porcelain fused to high noble metal - denture
A restoration that covers or takes the place of most or all of a tooth's clinical crown (the part of a tooth that supporting tissues do not cover) and which contains porcelain fused to high noble metal. The designation of high noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold. This code refers to fixed partial dental retainers.
ADA Code [ D ] Procedures
470
160
160
diagnostic casts
Diagnostic or study models.
detailed and extensive oral evaluation – problem focused, by report
A thorough evaluation, which is performed based on the results of a comprehensive oral evaluation. It is problem focused and uses advanced diagnostic tools to formulate treatment plans.
Diagnostic or study models.
detailed and extensive oral evaluation – problem focused, by report
A thorough evaluation, which is performed based on the results of a comprehensive oral evaluation. It is problem focused and uses advanced diagnostic tools to formulate treatment plans.
ADA Code [ E ] Procedures
7111
7140
7140
Extraction coronal remnants – deciduous tooth
Extracting the remnants of the crown of a tooth that is shedding or falling off. Soft tissue-retained remnants are included. Also included (if needed) are local anesthesia, suturing, and routine postoperative care.
extraction, erupted tooth or exposed root (elevation and/or forceps removal)
The removal of a tooth or of the exposed root of a tooth. This code includes tooth structure removal and, if necessary, closure of the site.
Back
to TopExtracting the remnants of the crown of a tooth that is shedding or falling off. Soft tissue-retained remnants are included. Also included (if needed) are local anesthesia, suturing, and routine postoperative care.
extraction, erupted tooth or exposed root (elevation and/or forceps removal)
The removal of a tooth or of the exposed root of a tooth. This code includes tooth structure removal and, if necessary, closure of the site.
ADA Code [ F ] Procedures
4355
full mouth debridement to enable comprehensive evaluation and diagnosis
Subgingival and/or supragingival calculus and plaque are cleared away in this process. The need for other procedures is not prevented by this procedure.
Subgingival and/or supragingival calculus and plaque are cleared away in this process. The need for other procedures is not prevented by this procedure.
ADA Code [ G ] Procedures
4211
4210
4210
gingivectomy or gingivoplasty – one to teeth contiguous teeth or bounded teeth spaces, per quadrant
The removal of gum tissue surrounding a tooth or teeth. It may be performed when there is excess gum tissue, when disease is present, when there is a poor smile, when preparation is needed for other dental techniques, or for other reasons. This minor surgery is typically performed with a local anesthetic, a small incision to remove the tissue, and then a dressing to protect the site. This ADA code refers to when the procedure involves one to three teeth, per quadrant.
gingivectomy or gingivoplasty – four or more contiguous teeth or bounded teeth spaces per quadrant
The removal of gum tissue surrounding a tooth or teeth. It may be performed when there is excess gum tissue, when disease is present, when there is a poor smile, when preparation is needed for other dental techniques, or for other reasons. This minor surgery is typically performed with a local anesthetic, a small incision to remove the tissue, and then a dressing to protect the site. This ADA code refers to when the procedure involves four or more contiguous teeth or bounded teeth spaces per quadrant.
The removal of gum tissue surrounding a tooth or teeth. It may be performed when there is excess gum tissue, when disease is present, when there is a poor smile, when preparation is needed for other dental techniques, or for other reasons. This minor surgery is typically performed with a local anesthetic, a small incision to remove the tissue, and then a dressing to protect the site. This ADA code refers to when the procedure involves one to three teeth, per quadrant.
gingivectomy or gingivoplasty – four or more contiguous teeth or bounded teeth spaces per quadrant
The removal of gum tissue surrounding a tooth or teeth. It may be performed when there is excess gum tissue, when disease is present, when there is a poor smile, when preparation is needed for other dental techniques, or for other reasons. This minor surgery is typically performed with a local anesthetic, a small incision to remove the tissue, and then a dressing to protect the site. This ADA code refers to when the procedure involves four or more contiguous teeth or bounded teeth spaces per quadrant.
ADA Code [ I ] Procedures
5140
5130
2510
2530
2520
210
230
220
5130
2510
2530
2520
210
230
220
immediate denture – mandibular
Placement of a synthetic substitute for teeth of the lower jaw and their adjoining tissue, which includes only limited follow-up care. A complete new denture and necessary future rebasing and/or relining procedures are not included.
immediate denture – maxillary
Placement of a synthetic substitute for teeth of the upper jaw and their adjoining tissue, which includes only limited follow-up care. A complete new denture and necessary future rebasing and/or relining procedures are not included.
inlay – metallic – one surface
A filling that is crafted outside of the mouth and which will replace part of a tooth. The inlay, which is made of a strong and durable material, will correspond with the size and shape of the cavity. When complete, the filling is packed into and bonded to the tooth. This ADA code refers to one surface.
inlay – metallic – three or more surfaces
A filling that is crafted outside of the mouth and which will replace part of a tooth. The inlay, which is made of a strong and durable material, will correspond with the size and shape of the cavity. When complete, the filling is packed into and bonded to the tooth. This ADA code refers to three or more surfaces.
inlay – metallic – two surfaces
A filling that is crafted outside of the mouth and which will replace part of a tooth. The inlay, which is made of a strong and durable material, will correspond with the size and shape of the cavity. When complete, the filling is packed into and bonded to the tooth. This ADA code refers to two surfaces.
intraoral – complete series (including bitewings)
A complete set of x-rays of the teeth and structures surrounding the teeth, which can provide information about the general health of the teeth, and can also uncover a variety of problems and conditions.
intraoral – periapical each additional film
A detailed x-ray of a whole tooth, which can provide a great deal of information about the health of the tooth and conditions that may surround it. This code refers to additional films beyond the first.
intraoral – periapical first film
A detailed x-ray of a whole tooth, which can provide a great deal of information about the health of the tooth and conditions that may surround it. This code refers to the first such film.
Placement of a synthetic substitute for teeth of the lower jaw and their adjoining tissue, which includes only limited follow-up care. A complete new denture and necessary future rebasing and/or relining procedures are not included.
immediate denture – maxillary
Placement of a synthetic substitute for teeth of the upper jaw and their adjoining tissue, which includes only limited follow-up care. A complete new denture and necessary future rebasing and/or relining procedures are not included.
inlay – metallic – one surface
A filling that is crafted outside of the mouth and which will replace part of a tooth. The inlay, which is made of a strong and durable material, will correspond with the size and shape of the cavity. When complete, the filling is packed into and bonded to the tooth. This ADA code refers to one surface.
inlay – metallic – three or more surfaces
A filling that is crafted outside of the mouth and which will replace part of a tooth. The inlay, which is made of a strong and durable material, will correspond with the size and shape of the cavity. When complete, the filling is packed into and bonded to the tooth. This ADA code refers to three or more surfaces.
inlay – metallic – two surfaces
A filling that is crafted outside of the mouth and which will replace part of a tooth. The inlay, which is made of a strong and durable material, will correspond with the size and shape of the cavity. When complete, the filling is packed into and bonded to the tooth. This ADA code refers to two surfaces.
intraoral – complete series (including bitewings)
A complete set of x-rays of the teeth and structures surrounding the teeth, which can provide information about the general health of the teeth, and can also uncover a variety of problems and conditions.
intraoral – periapical each additional film
A detailed x-ray of a whole tooth, which can provide a great deal of information about the health of the tooth and conditions that may surround it. This code refers to additional films beyond the first.
intraoral – periapical first film
A detailed x-ray of a whole tooth, which can provide a great deal of information about the health of the tooth and conditions that may surround it. This code refers to the first such film.
ADA Code [ L ] Procedures
140
9215
9215
limited oral evaluation – problem focused
An evaluation limited to a specific oral problem.
local anesthesia
Anesthesia, such as Novocaine, that temporarily numbs an area of the body.
An evaluation limited to a specific oral problem.
local anesthesia
Anesthesia, such as Novocaine, that temporarily numbs an area of the body.
ADA Code [ M ] Procedures
5212
5211
3330
5211
3330
mandibular partial denture – resin base (including any conventional clasps, rests, and teeth)
A prosthetic device that replaces one or more missing teeth on the lower jaw and which has a base of acrylic resin with resin or wrought wire clasps.
maxillary partial denture – resin base (including any conventional clasps, rests, and teeth)
A prosthetic device that replaces one or more missing teeth on the upper jaw and which has a base of acrylic resin with resin or wrought wire clasps.
molar endodontic (or root canal) therapy – excluding final restoration
Root canal therapy addresses problems with the dental pulp, the soft tissue surrounding the tooth. First, the crown of the tooth is removed. The dentist then restores the soft tissue by removing damaged areas and cleaning, enlarging, and shaping the tissue to create an optimal surface that can be filled with a filler. A new crown is then placed on top. Several visits may be required for the procedure. This code indicates root canal therapy on the molars and the teeth behind the bicuspids in the jaw (the grinding teeth, which contain large crowns and broad chewing surfaces).
A prosthetic device that replaces one or more missing teeth on the lower jaw and which has a base of acrylic resin with resin or wrought wire clasps.
maxillary partial denture – resin base (including any conventional clasps, rests, and teeth)
A prosthetic device that replaces one or more missing teeth on the upper jaw and which has a base of acrylic resin with resin or wrought wire clasps.
molar endodontic (or root canal) therapy – excluding final restoration
Root canal therapy addresses problems with the dental pulp, the soft tissue surrounding the tooth. First, the crown of the tooth is removed. The dentist then restores the soft tissue by removing damaged areas and cleaning, enlarging, and shaping the tissue to create an optimal surface that can be filled with a filler. A new crown is then placed on top. Several visits may be required for the procedure. This code indicates root canal therapy on the molars and the teeth behind the bicuspids in the jaw (the grinding teeth, which contain large crowns and broad chewing surfaces).
ADA Code [ O ] Procedures
9951
9430
9440
1330
9430
9440
1330
occlusal adjustment – limited
The occlusal teeth surfaces are reshaped to produce harmonious contact relationships between the maxillary and mandibular teeth. Also referred to as equilibrium.
office visit observation (no other services performed)
Observation provided in the provider's office with no other services performed.
office visit – after regularly scheduled hours
An office visit that takes place after regularly scheduled hours. Although HumanaOne's dentists are not required to provide office hours after regularly scheduled hours, many dentists have provisions that allow you to receive after-hours care.
oral hygiene instructions
May include home care directions such as tooth brushing methods, flossing, or aids to assist with oral hygiene.
The occlusal teeth surfaces are reshaped to produce harmonious contact relationships between the maxillary and mandibular teeth. Also referred to as equilibrium.
office visit observation (no other services performed)
Observation provided in the provider's office with no other services performed.
office visit – after regularly scheduled hours
An office visit that takes place after regularly scheduled hours. Although HumanaOne's dentists are not required to provide office hours after regularly scheduled hours, many dentists have provisions that allow you to receive after-hours care.
oral hygiene instructions
May include home care directions such as tooth brushing methods, flossing, or aids to assist with oral hygiene.
ADA Code [ P ] Procedures
330
120
4910
6210
6212
6211
6240
6242
6241
4342
4341
1110
1120
460
3221
120
4910
6210
6212
6211
6240
6242
6241
4342
4341
1110
1120
460
3221
panoramic film
A radiograph that is extraoral and shows both the upper and lower jaw in one film.
periodic oral examination
An evaluation performed to determine any changes in the patient's oral health since a previous comprehensive or periodic evaluation.
periodontal maintenance
This is for individuals who have had prior treatment for periodontal disease. Beginning after the active periodontal therapy, periodontal maintenance continues for the life of the dentition, at intervals determined by the particular case. Procedures may include: removal of supra and subgingival microbial fiber and calculus, site specific scaling and root planning, and teeth polishing. If periodontal disease emerges again, other procedures (diagnostic and treatment) may be utilized.
pontic – cast high noble metal
An artificial tooth on a fixed partial denture (bridge) in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold.
pontic – cast noble metal
An artificial tooth on a fixed partial denture (bridge) in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%.
pontic – cast predominantly base metal
An artificial tooth on a fixed partial denture (bridge) in which the alloy has the following metal content: gold, palladium, and/or platinum less than 25%.
pontic – porcelain fused to high noble metal
An artificial tooth on a fixed partial denture (bridge) in which porcelain is fused to high noble metal. The designation of high noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold.
pontic – porcelain fused to noble metal
An artificial tooth on a fixed partial denture (bridge) in which porcelain is fused to noble metal. The designation of noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%.
pontic – porcelain fused to predominantly base metal
An artificial tooth on a fixed partial denture (bridge) in which porcelain is fused to predominantly base metal. The designation of predominantly base metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum less than 25%.
periodontal scaling and root planing – one to three teeth, per quadrant
Plaque and calculus are removed from root and crown surfaces. This can be utilized as a pre-surgical procedure or in the treatment of periodontal disease. This ADA code is applicable when there are one to three teeth, per quadrant.
periodontal scaling and root planing – four or more contiguous teeth or bounded teeth spaces per quadrant
Plaque and calculus are removed from root and crown surfaces. This can be utilized as a pre-surgical procedure or in the treatment of periodontal disease. This ADA code is applicable when there are four or more contiguous teeth or bounded teeth spaces per quadrant.
prophylaxis – adult
A scaling and polishing procedure performed to remove plaque, calculus, and stains. ADA code 1110 refers to this procedure being performed on an adult.
prophylaxis – child
A scaling and polishing procedure performed to remove plaque, calculus, and stains. ADA code 1120 refers to this procedure being performed on a child.
pulp vitality tests
Diagnostic testing on the pulp, the connective tissue within a tooth that contains nerves and blood vessels, which can provide information on the health of the pulp.
pulpal debridement, primary and permanent teeth
Performed to relieve acute pain before a root canal is performed. It is not performed on the same day as endodontic treatment.
A radiograph that is extraoral and shows both the upper and lower jaw in one film.
periodic oral examination
An evaluation performed to determine any changes in the patient's oral health since a previous comprehensive or periodic evaluation.
periodontal maintenance
This is for individuals who have had prior treatment for periodontal disease. Beginning after the active periodontal therapy, periodontal maintenance continues for the life of the dentition, at intervals determined by the particular case. Procedures may include: removal of supra and subgingival microbial fiber and calculus, site specific scaling and root planning, and teeth polishing. If periodontal disease emerges again, other procedures (diagnostic and treatment) may be utilized.
pontic – cast high noble metal
An artificial tooth on a fixed partial denture (bridge) in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold.
pontic – cast noble metal
An artificial tooth on a fixed partial denture (bridge) in which the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%.
pontic – cast predominantly base metal
An artificial tooth on a fixed partial denture (bridge) in which the alloy has the following metal content: gold, palladium, and/or platinum less than 25%.
pontic – porcelain fused to high noble metal
An artificial tooth on a fixed partial denture (bridge) in which porcelain is fused to high noble metal. The designation of high noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 60% with at least 40% gold.
pontic – porcelain fused to noble metal
An artificial tooth on a fixed partial denture (bridge) in which porcelain is fused to noble metal. The designation of noble metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum equal to or greater than 25%.
pontic – porcelain fused to predominantly base metal
An artificial tooth on a fixed partial denture (bridge) in which porcelain is fused to predominantly base metal. The designation of predominantly base metal indicates that the alloy has the following metal content: gold, palladium, and/or platinum less than 25%.
periodontal scaling and root planing – one to three teeth, per quadrant
Plaque and calculus are removed from root and crown surfaces. This can be utilized as a pre-surgical procedure or in the treatment of periodontal disease. This ADA code is applicable when there are one to three teeth, per quadrant.
periodontal scaling and root planing – four or more contiguous teeth or bounded teeth spaces per quadrant
Plaque and calculus are removed from root and crown surfaces. This can be utilized as a pre-surgical procedure or in the treatment of periodontal disease. This ADA code is applicable when there are four or more contiguous teeth or bounded teeth spaces per quadrant.
prophylaxis – adult
A scaling and polishing procedure performed to remove plaque, calculus, and stains. ADA code 1110 refers to this procedure being performed on an adult.
prophylaxis – child
A scaling and polishing procedure performed to remove plaque, calculus, and stains. ADA code 1120 refers to this procedure being performed on a child.
pulp vitality tests
Diagnostic testing on the pulp, the connective tissue within a tooth that contains nerves and blood vessels, which can provide information on the health of the pulp.
pulpal debridement, primary and permanent teeth
Performed to relieve acute pain before a root canal is performed. It is not performed on the same day as endodontic treatment.
ADA Code [ R ] Procedures
1550
5731
5751
5750
5730
5741
5761
5740
5760
7240
7230
7220
5510
5630
5610
5640
5520
2394
2332
2393
2331
2392
2330
2391
5731
5751
5750
5730
5741
5761
5740
5760
7240
7230
7220
5510
5630
5610
5640
5520
2394
2332
2393
2331
2392
2330
2391
re-cementation of space maintainer
A space maintainer (a passive appliance used to prevent the movement of teeth) is re-cemented.
reline complete mandibular denture (chairside)
The tissue side of a denture replacing the teeth of the lower jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline complete mandibular denture (laboratory)
The tissue side of a denture replacing the teeth of the lower jaw is resurfaced with a new base material. This is performed in a laboratory.
reline complete maxillary denture (chairside)
The tissue side of a denture replacing the teeth of the upper jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline complete maxillary denture (laboratory)
The tissue side of a denture replacing the teeth of the upper jaw is resurfaced with a new base material. This is performed in a laboratory.
reline mandibular partial denture (chairside)
The tissue side of a denture replacing some of the teeth of the lower jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline mandibular partial denture (laboratory)
The tissue side of a denture replacing some of the teeth of the lower jaw is resurfaced with a new base material. This is performed in a laboratory.
reline maxillary partial denture (chairside)
The tissue side of a denture replacing some of the teeth of the upper jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline maxillary partial denture (laboratory)
The tissue side of a denture replacing some of the teeth of the upper jaw is resurfaced with a new base material. This is performed in a laboratory.
removal of impacted tooth – completely bony
The surgical extraction of an impacted tooth, a tooth that is at least partially unerupted and whose position makes it unlikely to wholly erupt. Bone covers most or all of the crown. Mucoperiosteal flap elevation and bone removal are needed. Local anesthesia, necessary suturing, and care following the procedure are included.
removal of impacted tooth – partially bony
The surgical extraction of an impacted tooth, a tooth that is at least partially unerupted and whose position makes it unlikely to wholly erupt. Bone covers part of the crown. Mucoperiosteal flap elevation and bone removal are needed. Local anesthesia, necessary suturing, and care following the procedure are included.
removal of impacted tooth – soft tissue
The surgical extraction of an impacted tooth, a tooth that is at least partially unerupted and whose position makes it unlikely to wholly erupt. Soft tissue covers the tooth's occlusal surface. Mucoperiosteal flap elevation is needed. Local anesthesia, necessary suturing, and care following the procedure are included.
repair broken complete denture base
The base of a complete denture (a synthetic substitute for teeth of the lower or upper jaw and their adjoining tissue) is repaired.
repair or replace broken clasp
A repair to a partial denture in which a broken clasp is either fixed or replaced.
repair resin denture base
A procedure in which the resin denture base of a partial denture (prosthetic device replacing missing teeth) is repaired.
replace broken teeth – per tooth
A repair to a partial denture in which a broken tooth is replaced. (reported per tooth)
replace missing or broken teeth – complete denture (each tooth)
A repair to a complete denture in which a missing or broken tooth is replaced. (reported per tooth)
resin-based composite – four or more surfaces, posterior
Restoration, which could include a ride range of materials, including composites. The preparation of the tooth, acid etching, adhesives, liners and bases and curing are included. At least four of the five surface classifications are involved in the restoration.
resin-based composite – three surfaces, anterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. The lingual and facial margins of the restoration go beyond the line angle.
resin-based composite – three surfaces, posterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Three of the five surface classifications are involved in the restoration.
resin-based composite – two surfaces, anterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Either the lingual or facial margin of the restoration goes beyond the line angle.
resin-based composite – one surface, posterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Only one of the five surface classifications is involved in the restoration.
resin-based composite – one surface, anterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. The lingual and facial margins of the restoration do not go beyond the line angle.
resin-based composite – one surface, posterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Only one of the five surface classifications is involved in the restoration.
A space maintainer (a passive appliance used to prevent the movement of teeth) is re-cemented.
reline complete mandibular denture (chairside)
The tissue side of a denture replacing the teeth of the lower jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline complete mandibular denture (laboratory)
The tissue side of a denture replacing the teeth of the lower jaw is resurfaced with a new base material. This is performed in a laboratory.
reline complete maxillary denture (chairside)
The tissue side of a denture replacing the teeth of the upper jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline complete maxillary denture (laboratory)
The tissue side of a denture replacing the teeth of the upper jaw is resurfaced with a new base material. This is performed in a laboratory.
reline mandibular partial denture (chairside)
The tissue side of a denture replacing some of the teeth of the lower jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline mandibular partial denture (laboratory)
The tissue side of a denture replacing some of the teeth of the lower jaw is resurfaced with a new base material. This is performed in a laboratory.
reline maxillary partial denture (chairside)
The tissue side of a denture replacing some of the teeth of the upper jaw is resurfaced with a new base material. This is performed in the dentist's office.
reline maxillary partial denture (laboratory)
The tissue side of a denture replacing some of the teeth of the upper jaw is resurfaced with a new base material. This is performed in a laboratory.
removal of impacted tooth – completely bony
The surgical extraction of an impacted tooth, a tooth that is at least partially unerupted and whose position makes it unlikely to wholly erupt. Bone covers most or all of the crown. Mucoperiosteal flap elevation and bone removal are needed. Local anesthesia, necessary suturing, and care following the procedure are included.
removal of impacted tooth – partially bony
The surgical extraction of an impacted tooth, a tooth that is at least partially unerupted and whose position makes it unlikely to wholly erupt. Bone covers part of the crown. Mucoperiosteal flap elevation and bone removal are needed. Local anesthesia, necessary suturing, and care following the procedure are included.
removal of impacted tooth – soft tissue
The surgical extraction of an impacted tooth, a tooth that is at least partially unerupted and whose position makes it unlikely to wholly erupt. Soft tissue covers the tooth's occlusal surface. Mucoperiosteal flap elevation is needed. Local anesthesia, necessary suturing, and care following the procedure are included.
repair broken complete denture base
The base of a complete denture (a synthetic substitute for teeth of the lower or upper jaw and their adjoining tissue) is repaired.
repair or replace broken clasp
A repair to a partial denture in which a broken clasp is either fixed or replaced.
repair resin denture base
A procedure in which the resin denture base of a partial denture (prosthetic device replacing missing teeth) is repaired.
replace broken teeth – per tooth
A repair to a partial denture in which a broken tooth is replaced. (reported per tooth)
replace missing or broken teeth – complete denture (each tooth)
A repair to a complete denture in which a missing or broken tooth is replaced. (reported per tooth)
resin-based composite – four or more surfaces, posterior
Restoration, which could include a ride range of materials, including composites. The preparation of the tooth, acid etching, adhesives, liners and bases and curing are included. At least four of the five surface classifications are involved in the restoration.
resin-based composite – three surfaces, anterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. The lingual and facial margins of the restoration go beyond the line angle.
resin-based composite – three surfaces, posterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Three of the five surface classifications are involved in the restoration.
resin-based composite – two surfaces, anterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Either the lingual or facial margin of the restoration goes beyond the line angle.
resin-based composite – one surface, posterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Only one of the five surface classifications is involved in the restoration.
resin-based composite – one surface, anterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. The lingual and facial margins of the restoration do not go beyond the line angle.
resin-based composite – one surface, posterior
Restoration, which could include a wide range of materials, including composites. The preparation of the tooth, acid etching, adhesives, and liners, bases, and curing are included. Only one of the five surface classifications is involved in the restoration.
ADA Code [ S ] Procedures
1351
1515
1510
1525
1520
7210
7250
1515
1510
1525
1520
7210
7250
sealant – per tooth
Plastic placed on the biting surfaces of back teeth to prevent cavities.
space maintainer – fixed – bilateral
A passive appliance used to prevent the movement of teeth on both sides of the mouth. It cannot be removed by the patient.
space maintainer – fixed – unilateral
A passive appliance used to prevent the movement of teeth on one side of the mouth. It cannot be removed by the patient.
space maintainer – removable – bilateral
A passive appliance used to prevent the movement of teeth on both sides of the mouth. It can be removed by the patient.
space maintainer – removable – unilateral
A passive appliance used to prevent the movement of teeth on one side of the mouth. It can be removed by the patient.
surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth
A surgical extraction that involves the cutting of the bone and gingiva, the removal of the tooth structure, and closure. Local anesthesia, necessary suturing, and care following the procedure are included.
surgical removal of residual tooth roots (cutting procedure)
An extraction of the root structure of a tooth left behind when the majority (over 3/4) of the crown of the tooth is lost. Procedure includes the following: cutting of bone and soft tissue, tooth structure removal, and closure. Also included (if needed) are local anesthesia, suturing, and routine postoperative care.
Plastic placed on the biting surfaces of back teeth to prevent cavities.
space maintainer – fixed – bilateral
A passive appliance used to prevent the movement of teeth on both sides of the mouth. It cannot be removed by the patient.
space maintainer – fixed – unilateral
A passive appliance used to prevent the movement of teeth on one side of the mouth. It cannot be removed by the patient.
space maintainer – removable – bilateral
A passive appliance used to prevent the movement of teeth on both sides of the mouth. It can be removed by the patient.
space maintainer – removable – unilateral
A passive appliance used to prevent the movement of teeth on one side of the mouth. It can be removed by the patient.
surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth
A surgical extraction that involves the cutting of the bone and gingiva, the removal of the tooth structure, and closure. Local anesthesia, necessary suturing, and care following the procedure are included.
surgical removal of residual tooth roots (cutting procedure)
An extraction of the root structure of a tooth left behind when the majority (over 3/4) of the crown of the tooth is lost. Procedure includes the following: cutting of bone and soft tissue, tooth structure removal, and closure. Also included (if needed) are local anesthesia, suturing, and routine postoperative care.
ADA Code [ T ] Procedures
5851
5850
1201
1203
3220
5850
1201
1203
3220
tissue conditioning, mandibular
The tissue side of a denture is resurfaced with a new base material. The materials used are specifically made to revive unhealthy ridges before more definitive final restoration. This code refers to the lower jaw.
tissue conditioning, maxillary
The tissue side of a denture is resurfaced with a new base material. The materials used are specifically made to revive unhealthy ridges before more definitive final restoration. This code refers to the upper jaw.
topical application of fluoride (prophylaxis not included) – child
The office procedure of topical fluoride treatment for a child (not including prophylaxis). Fluoride rinses (swish) are excluded.
topical application of fluoride (including prophylaxis) – child
The office procedure of topical fluoride treatment for a child, in which the procedures of prophylaxis and fluoride treatment are performed. The fluoride and prophylaxis paste treatment are separate, and fluoride rinses (swish) are excluded.
therapeutic pulpotomy (excluding final restoration) – removal of pulp coronal to the dentinocemental junction and application of medicament
A portion of the pulp is surgically removed in order to keep the vitality of the pulp that remains through the use of a sufficient dressing. This is done on teeth that are primary or permanent.
The tissue side of a denture is resurfaced with a new base material. The materials used are specifically made to revive unhealthy ridges before more definitive final restoration. This code refers to the lower jaw.
tissue conditioning, maxillary
The tissue side of a denture is resurfaced with a new base material. The materials used are specifically made to revive unhealthy ridges before more definitive final restoration. This code refers to the upper jaw.
topical application of fluoride (prophylaxis not included) – child
The office procedure of topical fluoride treatment for a child (not including prophylaxis). Fluoride rinses (swish) are excluded.
topical application of fluoride (including prophylaxis) – child
The office procedure of topical fluoride treatment for a child, in which the procedures of prophylaxis and fluoride treatment are performed. The fluoride and prophylaxis paste treatment are separate, and fluoride rinses (swish) are excluded.
therapeutic pulpotomy (excluding final restoration) – removal of pulp coronal to the dentinocemental junction and application of medicament
A portion of the pulp is surgically removed in order to keep the vitality of the pulp that remains through the use of a sufficient dressing. This is done on teeth that are primary or permanent.
ADA Code [ U ] Procedures
9999
2999
2999
unspecified adjunctive procedure, by report
A procedure, which does not have a code that sufficiently describes it. The procedure should be explained.
unspecified restorative procedure, by report
A procedure, which does not have a code that sufficiently describes it. The procedure should be explained.
A procedure, which does not have a code that sufficiently describes it. The procedure should be explained.
unspecified restorative procedure, by report
A procedure, which does not have a code that sufficiently describes it. The procedure should be explained.
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